Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.09 / $10,321.00 / $28,540.00	Facility		$3,546.09	$10,321.00	$28,540.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,840.00 / $10,467.00 / $20,634.00	Facility		$3,840.00	$10,467.00	$20,634.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $8,028.10	Facility		$65.90	$100.00	$8,028.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $27,504.26 / $49,261.37	Facility		$10,000.00	$27,504.26	$49,261.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.20 / $1,776.69 / $19,636.09	Professional		$1,231.20	$1,776.69	$19,636.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,472.54 / $2,045.19 / $3,701.32	Professional		$1,472.54	$2,045.19	$3,701.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $45,000.00 / $79,437.95	Facility		$5,000.00	$45,000.00	$79,437.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $354.59 / $7,529.59 / $7,529.59	Facility	AS	$354.59	$7,529.59	$7,529.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,627.79 / $2,024.24 / $2,842.70	Facility		$1,627.79	$2,024.24	$2,842.70
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $183.13 / $183.13 / $528.13	Facility	AS	$183.13	$183.13	$528.13
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,205.00 / $29,571.00	Facility		$7,696.00	$13,205.00	$29,571.00